Xanax XR (Alprazolam): A Medical Overview

Xanax XR is a prescription medication that contains the active ingredient alprazolam. It is a benzodiazepine, a class of drugs that acts on the central nervous system to produce a calming effect.

How It Works and Who Can Use It

Xanax XR works by enhancing the effects of a natural brain chemical called GABA, which helps calm nerve activity. This provides relief for the intense symptoms associated with a panic attack, such as a pounding heart, sweating, shaking, shortness of breath, or a feeling of losing control.

This medication should only be used as directed by a healthcare professional. It is not for everyone and has specific contraindications.

Dosage and Administration

You should take Xanax XR once a day, ideally in the morning. It is crucial to swallow the tablet whole and never split, crush, or chew it, as this would release the entire dose at once. Your doctor will determine the appropriate starting dose, and they may gradually increase it over time to find the most effective amount for your condition.

The long-term efficacy of beyond eight weeks has not been specifically evaluated in clinical studies. If you use the medication for an extended period, you will need to have regular check-ups with your doctor.  A lower starting dose may be necessary for elderly patients or individuals with liver problems.

Possible Side Effects and Adverse Reactions

Xanax XR can cause a range of side effects, with the most common ones related to its calming effects. These can include drowsiness, fatigue, dizziness, or problems with coordination.

More serious side effects can occur and require immediate medical attention. You should seek emergency help if you experience:

• Signs of an allergic reaction (hives, swelling of the face, lips, tongue, or throat, or difficulty breathing).
• Behavioral changes, such as unusual aggression, agitation, or a lack of fear of danger.
• Depressed mood, suicidal thoughts, or self-harming behavior.
• Hallucinations, feeling light-headed or fainting.
• Jaundice (yellowing of the skin or eyes).